A nurse is teaching a newly licensed nurse about client confidentiality. The nurse should include which of the following examples represents a violation of client confidentiality?
Calling the pharmacy with a prescription for the client's partner to pick up
Informing housekeeping staff that the client is in the dialysis unit
Reporting a client's disposition to the referring provider
Providing a copy of the client's medical record to the transporting paramedic
The Correct Answer is B
A nurse is teaching a newly licensed nurse about client confidentiality. The nurse should include which of the following examples represents a violation of client confidentiality?
a. Calling the pharmacy with a prescription for the client's partner to pick up
b. Informing housekeeping staff that the client is in the dialysis unit
c. Reporting a client's disposition to the referring provider
d. Providing a copy of the client's medical record to the transporting paramedic
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Related Questions
Correct Answer is D
Explanation
a. Concerns about paying for therapy may indicate financial worries but do not necessarily suggest a need for occupational therapy specifically.
b. Expressing hope to adjust to using crutches is a common concern for post-amputation clients but does not specifically indicate a need for occupational therapy.
c. Difficulty accepting the appearance of the amputated limb may indicate a need for psychological support or counseling rather than occupational therapy.
d. Concerns about caring for a toddler at home following amputation may involve tasks that require adaptation and assistance, such as mobility, childcare activities, and home safety, which are within the scope of occupational therapy.
Correct Answer is D
Explanation
a. Accompanying a client who just had a wound debridement to physical therapy - LPNs can assist with client mobility and transportation, but wound debridement is a procedure that typically requires RN-level assessment and monitoring.
b. Obtaining a urine specimen from an older adult client - This role is more appropriate for the assstive personnel
c. Providing postmortem care for a client that just died - This task involves emotional support, dignity, and respect for the deceased, as well as proper documentation. It's within the RN scope of practice due to its complexity and emotional sensitivity.
d. Reinforcing dietary teaching with a client who has heart disease - LPNs can reinforce teaching once the initial teaching has been done by the RN, and dietary education for clients with heart disease often involves routine guidelines and doesn't necessarily require the comprehensive assessment and education provided by an RN. Therefore, this task is appropriate for the LPN.
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